TUZGÖLÜ HAVZASINDA YERALTI SUYUNUN YOK OLUŞU (EŞMEKAYA-SULTAN HANI ÖRNEĞİ)

Tuz lake basin with wide surface feeding area (18000 km2) is a sub basin of Konya closed basin. The investigated area, which is a good example of unconscious and excessive usage of groundwater, is located about 10 km south of Tuz Lake, and 40 km southwest of the city of Aksaray. While there was a lake area with countless springs in subsidence of Eşmekaya Sultanhani 15 years ago, the area became an arid and dried land including only bog plant at the bottom due to excessive and unconscious water pulling from drilling wells whose numbers are continuously increasing every day. Decrease in water level of the Tuz lake basin, in where water of Konya basin is also collected finally, shows that problem would be serious in margins of the Konya basin, and, if some measures are not taken , similar problems could be come across in whole Konya closed basin. In this study, static water level that observed each year was measured; decrease in water level and their reasons were determined by using drilling wells of the investigated area. Besides, dominant flow direction and dip in the ground water level were determined. Hydrogeological characteristics of the geological units and physic-chemical characteristics of the water in the area were also determined by too many water analyses.Çok geniş bir yüzeysel beslenim alanına (18000 km2) sahip olan Tuz Gölü havzası, Konya kapalı havzasının bir alt havzasıdır. Ülkemizdeki bilinçsiz ve aşırı yeraltısuyu kullanımına iyi bir örnek teşkil edebilecek olan inceleme alanı, Tuz Gölü’nün 10 km güneyinde, Aksaray ilinin 40 km güneybatısında yer almaktadır. Bu alanda bulunan Eşmekaya-Sultanhanı çöküntüsü içinde, günümüzden 15 yıl kadar önce sayısız kaynağa sahip bir göl alanı mevcut iken, hergeçen gün sayıları artan çok sayıdaki sondaj kuyularından yapılan aşırı ve bilinçsiz su çekimleri ile bu alan, bugün yalnızca tabanında bataklık bitkileri olan çorak ve kurak bir arazi haline dönüşmüştür. Her iki havzanın tüm sularının toplanma alanı olan bu havzadaki su düşümleri, havzanın kenarlarında problemin daha da büyük olacağını, bu konuda gerekli tedbirlerin alınmaması durumunda Konya kapalı havzasının tümünde de benzer sorunlarla karşılaşılacağını göstermektedir. Bu çalışmada inceleme alanındaki yeraltısularının açılan sondaj kuyularından yararlanılarak, 2000-2006 yılları arasında gözlenen statik su seviyeleri ölçülmüş, seviye düşümlerinin tespitleri yapılarak nedenleri ortaya konulmuştur. Ayrıca yeraltısuyunun akım yönü güneybatıdan kuzeydoğuya doğru olup hidrolik eğim 0,004-0,027 arasındadır. inceleme alanında bulunan jeolojik birimlerin hidrojeolojik özellikleri ile suların fiziko-kimyasal özellikleri de yapılan su analizleri ile ortaya konulmuştur

Emphysematous pyelonephritis with left renal vein thrombosis-case report successfully treated by conservative methods

Presently emphysematous pyelonephritis is a rare but life-threatening disease, mostly seen in patients with urinary tract obstr uc- tion and diabetes mellitus. It is characterized by the production of gas and necrosis in the renal parenchyma, collecting systems, and perinephritic tissue. Radiologically, the Huang and Tseng classification is used to categorize the severity of the disease. Our case was 49 years old female pre- senting with unconsciousness, fever and bilateral Grade 3 lower extremity eodema one week after left percutaneous nephrolithotomy procedure because of urinary tract stone. Abdominal computerized tomography scan showed renal parenchymal and perinephritic tissue necrosis with the production of gas and renal vein thrombosis which was in accordance with Huang and Tseng classification Grade 3A. We treated our patient with the appropriate antibiotic, enoxaparin sodium, strict glycemic control, and supportive treatment without any surgical intervention or nephrectomy

Multipl miyelom tanılı hastalarda EORTC QLQ ile yaşam kalitesi değerlendirmesi: Çok merkezli çalışma

Objective: Both the length of the treatment period and the diversity of the agents used in the treatment significantly affect the quality of life (QoL) of the patients with multiple myeloma (MM). With the aid of the EORTC Quality of Life Questionnaire Consisting of 30 Questions “EORTC QLQ-C30” and the Quality of Life Questionnaire Multiple Myeloma Module “QLQ-MY20”, we aimed to obtain data on quality of life in MM patients in a representative sample of the general population of our country. Methods: One hundred sixty eight patients from 6 different centers followed between 2018-2020 were included in the study. The QLQ-C30, and the QLQ-MY20 questionnaires specific for MM patients were used and the results were reported statistically. Results: Seventy eight (46%) of the patients were female, while 90 (54%) were male. The median age was 64 (22-84). When the findings were analysed, it was found that there was a greater effect on the symptom scale compared to the functional scale. Conclusion: The importance of the treatment-related side effect management, together with the adequate administration of appropriate symptomatic treatment in holistic treatment management were emphasized as effective factors in terms of the QoL of patients with MM.Amaç: Hem tedavi süresinin uzunluğu, hem de tedavide kullanılan ajanların çeşitliliği multipl miyelomlu (MM) hastaların yaşam kalitesini (YK) önemli ölçüde etkiler. Otuz sorudan oluşan EORTC Yaşam Kalitesi Anketi “EORTC QLQ-C30” ve Yaşam Kalitesi Anketi-Multipl Miyelom Modülü “QLQ-MY20” yardımıyla MM hastalarında yaşam kalitesine ilişkin verileri elde etmeyi amaçladık. Yöntem: 2018-2020 yılları arasında takip edilen, 6 farklı merkezden 168 hasta çalışmaya dahil edildi. MM hastalarına özel QLQ-C30 ve QLQ-MY20 anketleri kullanılmış ve sonuçlar istatistiksel olarak rapor edilmiştir. Bulgular: Hastaların 78’i (%46) kadın, 90’ı (%54) erkekti. Ortanca yaş 64 (22-84) idi. Bulgular incelendiğinde semptom ölçeğinde fonksiyonel ölçeğe göre daha fazla etkinin olduğu görüldü. Sonuç: Bütüncül tedavi yönetiminde, uygun tedavinin yeterli uygulanması ile birlikte tedaviye bağlı yan etki yönetiminin önemi, MM’li hastaların yaşam kalitesi açısından etkili faktörler olarak vurgulanmıştır

Evaluation of the collective washing of coals from the Soma region with different characteristics

Coal basins may have different coal formations. Therefore, different coal characteristics can be seen even in the same coal seam. The characteristics of the coal and the type of the mineral matter in coal are very important factors for the design of coal washing plants. The Soma coal region in Turkey has different coal formations which necessitate a careful blending of the coals prior to the washing plant. At present, Soma coals are being washed in a conventional heavy media plant. However, coals from different productions zones are fed to the plant without any blending. The clean products are also not blended to gain a consistent quality before sale. In this study, five different types of coal from the Soma region were washed together in the same washing plant. First, these coals were submitted to float-sink tests. Data derived from these tests were used for the evaluation of the plant trials. A novel method was used for the evaluation of the coal's washability and its probable effects on the performance of the coal washing equipment. As a result, experiments and evaluations show that the coal formations in the Soma region have significant differences in their characteristics which can impair the performance of the coal washing plant. Thus, washing these coals in the same plant under the same conditions needs blending or a special feeding programme. (C) 2004 Institute of Materials, Minerals & Mining Published by Maney on behalf of the Institute in association with AusIMM. Manuscript received 28 November 2003; accepted in final form 6 June 2004